Scholarship Application

Name *

First

Last

ZSC ID Number

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Date of Birth *//

Primary Phone Number *

Personal Email *

Some scholarship correspondence is sent via email - please list an email that you check on a regular basis.

ZSC Email

Program of Study *

Education

High School *

Graduation Year *

Colleges Attended

If multiple, separate with //

If you are concurrently enrolled at another college or university, please list the institution.

Other Information

Some scholarships have specific donor-designated selection criteria. Check all that apply:

American Electric Power customer
Employed
Guernsey-Muskingum Electric Co-Op customer
Self/imm. family employed by Nestle Purina/Benco
Self/imm. family employed by Wendy's Restaurant
Self/imm. family graduate of ZSC (or MATC)
Single parent

Please list employer *

Enrollment Status

I am applying for a scholarship for: (choose one) *

Fall 2023/Spring 2024: For first consideration, applications and other required items (excluding final high school transcript for graduating seniors) must be received by February 1, 2023. The final deadline to have applications completed is May 1, 2023. Applications received after May 1, 2023, will be considered on a funds available basis.

Personal Statement Upload *

Click or drag a file to this area to upload.

A personal statement is a one-page, typed letter about yourself that includes: academic background, employment experience, career goals, community involvement, interests, and other information you would like considered. This will be blindly evaluated and scored and should be as thorough as possible.

Certification

Check each box to indicate you have read and agree to the following terms. *

I authorize ZSC Foundation access to all educational records pertinent to this scholarship application including records to verify enrollment, GPA, and financial aid status.
I give the ZSC Foundation permission to release information contained in my application packet to the Scholarship Selection Committee and the donor(s) from whom I may receive funds.
I certify, to the best of my knowledge, the information contained on this application and in supporting documents is complete and accurate.
If awarded, I authorize ZSC to publish my name as a scholarship recipient
I agree that to be considered for a scholarship, I must submit transcripts, test scores, financial aid documents, and a personal statement as indicated in a follow up email.

Please sign to indicate you read and agree to the all information listed above. *